Clinical experience of national medical master Han Mingxiang in treating acute exacerbation chronic obstructive pulmonary disease with phlegm-heat congestion based on the theory of"lung and large intestine being interior-exteriorly related"
10.3969/j.issn.1008-9691.2025.03.017
- VernacularTitle:国医大师韩明向基于"肺与大肠相表里"理论治疗慢性阻塞性肺疾病急性加重期痰热壅肺证的临床经验
- Author:
Xiao MA
1
;
Xue LIANG
;
Miaoyan HAN
;
Yuqiang QU
;
Mingxiang HAN
;
Zegeng LI
Author Information
1. 安徽中医药大学第一附属医院,安徽 合肥 230031;韩明向国医大师芜湖市中医医院工作站,安徽 芜湖 241000;安徽省中医药科学院中医呼吸病防治研究所,安徽 合肥 230031
- Publication Type:Journal Article
- Keywords:
National medical master;
Han Mingxiang;
Lung and large intestine being interior-exteriorly related;
Acute exacerbation chronic obstructive pulmonary disease;
Phlegm-heat obstructing lung syndrome
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2025;32(3):348-352
- CountryChina
- Language:Chinese
-
Abstract:
This study systematically elucidates the contemporary understanding of the theory of"the lung and large intestine being interior-exteriorly related"within both traditional Chinese and Western medical theoretical frameworks,while providing an in-depth summary of national medical master Han Mingxiang's clinical experience in diagnosing and treating phlegm-heat obstructing lung syndrome in acute exacerbation chronic obstructive pulmonary disease(AECOPD).Theoretically,this doctrine originates from the Huangdi Neijing and has been developed into a comprehensive system by subsequent medical practitioners.Modern medical research from embryological,microbiological,and other perspectives has confirmed the close physiological and pathological relationship between the lung and intestine,particularly evidenced by the proposed"gut-lung axis"theory.Based on over 6 decades of clinical practice,professor Han identified the core pathogenesis of AECOPD as involving"phlegm,blood stasis,toxins,and deficiency,"with phlegm-heat obstructing lung syndrome being the most prevalent manifestation.The pathological characteristics include impaired lung qi descent,internal accumulation of phlegm-heat,and intestinal obstruction.The therapeutic approach emphasizes"clearing heat and resolving phlegm,relieving cough and asthma"as the primary treatment principle,focusing on"clearing lung heat,eliminating phlegm pathogens,and descending rebellious qi",while adhering to the concept of"simultaneous treatment of lung and intestine."In terms of herbal prescription,professor Han skillfully employs modified Xuanbai Chengqi decoction,which integrates lung-ventilating,phlegm-resolving,and purgative effects.Importantly,he emphasizes the precise timing and dosage of purgative herbs,particularly for patients with deficiency patterns,advocating discontinuation or dose reduction once intestinal patency is achieved to avoid overtreatment.For remission phase management,professor Han advocates the"reinforcing earth to generate metal"approach using modified Bufei decoction combined with Yigong powder,which strengthens spleen qi to nourish lung function.This therapeutic strategy embodies the fundamental treatment principle of"treating the acute manifestations first,then addressing the root cause."This research not only deepens the understanding of classical Chinese medical theories but also provides more scientifically grounded intervention strategies for the clinical prevention and treatment of lung distension.The findings offer valuable insights into integrative approaches for AECOPD management,combining traditional wisdom with contemporary medical understanding.
